Chifukwa Chake Mungayesetse Kukhala Ndi Epidural-Kupatula Kupumula Kwa Zowawa

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Ngati mwakhala ndi pakati kapena wina wapafupi ndi inu akubeleka, mwina mukudziwa zonse za epidurals, mtundu wa anesthesia womwe umagwiritsidwa ntchito kwambiri m'chipinda choperekera. Nthawi zambiri amaperekedwa atangotsala pang'ono kubadwa kwa ukazi (kapena gawo la C) ndipo amaperekedwa ndi jekeseni mankhwala mwachindunji kumalo ang'onoang'ono kumunsi kumbuyo kunja kwa msana. Nthawi zambiri, ma epidurals amaganiziridwa ngati njira yotetezeka, yothandiza kwambiri yochepetsera ululu womwe umamva pobereka. Zachidziwikire, azimayi ambiri amakonda kupita kubadwa kwachilengedwe, komwe mankhwala osagwiritsidwa ntchito kwenikweni, koma matenda am'mimba amatanthauza kuti sipadzakhala zopweteka pang'ono pakubereka. Pakadali pano, tikudziwa zambiri za zabwino zakuthupi zokhala ndi matenda, koma zambiri pazokhudza malingaliro awo ndizochepa.

Pakafukufuku watsopano woperekedwa ku msonkhano wapachaka wa American Society of Anesthesiologists, ofufuza adafotokoza kuti apeza chifukwa china chomwe amayi angaganize zopezera matenda. Pambuyo pofufuza zolemba zakubadwa za amayi atsopano opitilira 200 omwe anali ndi matenda am'mimba, ofufuzawo adapeza kuti kukhumudwa pambuyo pobereka sikunali kofala kwambiri mwa azimayi omwe anali ndi matenda omwe amathandiza kuthetsa ululu. Matenda a Postpartum, omwe amadziwika ndi zizindikilo zofananira ndi za kukhumudwa koma ndizowonjezera zovuta zokhudzana ndi kukhala mayi watsopano, zimakhudza amayi m'modzi mwa amayi asanu ndi atatu atsopano malinga ndi Centers for Disease Control, ndikupangitsa kuti likhale vuto lenileni komanso lodziwika bwino. Kwenikweni, ofufuzawo adapeza kuti ngati epidural imagwira ntchito bwino, amachepetsa chiopsezo cha kupsinjika kwa pambuyo pobereka. Zinthu zodabwitsa kwambiri.

Ngakhale iyi ndi nkhani yabwino kwa azimayi omwe akuganiza za ma epidurals, ofufuzawo achenjeza kuti alibe mayankho onse. "Ngakhale kuti tinapeza mgwirizano pakati pa amayi omwe amamva kupweteka pang'ono panthawi yobereka komanso kuchepetsa chiopsezo cha postpartum depression, sitikudziwa ngati kuwongolera bwino kwa ululu ndi epidural analgesia kudzatsimikizira kupewa vutoli," adatero Grace Lim, MD, mkulu wa opaleshoni ya opaleshoni. ku chipatala cha Magee Women ku University of Pittsburgh Medical Center ndikutsogolera wofufuza pa kafukufukuyu pofalitsa nkhani. "Matenda a postpartum amatha kuchokera kuzinthu zingapo kuphatikiza kusintha kwama mahomoni, kusintha kwamaganizidwe kukhala mayi, kuthandizira anzawo, komanso mbiri yazovuta zamisala." Chifukwa chake matendawa samatsimikizira kuti mudzapewa kukhumudwa kumene kubadwa pambuyo pobereka, koma pali kulumikizana kwabwino pakati pobereka zopweteka kwambiri komanso kusakhala nako.

Kusankha njira yoberekera ndi chisankho chaumwini chomwe chiyenera kupangidwa pakati pa mayi ndi dokotala wake (slash mid-wiff). Ndipo mutha kusankhabe kubadwa mwachilengedwe pazifukwa zosiyanasiyana: ma epidurals amatha kupangitsa kuti ntchito ikhale yayitali ndikukweza kutentha kwanu, ndipo azimayi ena amati kubadwa kwachilengedwe kumawathandiza kuti azimva kupezeka nthawi yobereka. Amayi ena amadera nkhawa zovuta zamatenda monga hypotension (kutsika kwa magazi), kuyabwa, komanso kupweteka kwa msana atabereka, malinga ndi tsamba la mlongo wathu Mimba Yoyenera. Komabe, zoopsa zambiri ndizosowa ndipo sizowopsa ngati zingachitike mwachangu.

Pakadali pano, zikuwoneka kuti pakufunika kafukufuku wambiri kuti mumvetsetse tanthauzo la ma epidurals omwe ali pachiwopsezo cha kupsinjika pambuyo pobereka, koma ngati muli otsimikiza kuti mupeza chimodzi, izi zatsopano ndithudi wolandiridwa.

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